Individual
CHEVELLA DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2995 N DIXIE HWY, OAKLAND PARK, FL 33334-2640
(954) 357-6622
(954) 357-8815
Mailing address
2860 NW 23RD ST, FORT LAUDERDALE, FL 33311-2804
(954) 357-6622
(954) 357-5713
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
756056700
—
FL
Enumeration date
10/23/2015
Last updated
10/23/2015
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